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Pick a procedure and (optionally) a state or payer. Rates come from each hospital's federally-mandated machine-readable file.

ProcedureHospital (name or CCN)State

Payer

Rate type

Hospitals

Payers

Negotiated range

$43.62 – $698.47

Negotiated median

$175.00

CPT 90791 Psychiatric diagnostic evaluation · Showing 200 of 612 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
St. Josephs Medical Center	NY	Chargemaster	N/A	outpatient	gross	$976.00
Nassau University Medical Center	NY	Chargemaster	N/A	inpatient	gross	$698.47
Nassau University Medical Center	NY	Chargemaster	N/A	outpatient	gross	$698.47
Nassau University Medical Center	NY	Chargemaster	N/A	both	gross	$628.00
Nassau University Medical Center	NY	Chargemaster	N/A	inpatient	gross	$572.00
Nassau University Medical Center	NY	Chargemaster	N/A	outpatient	gross	$572.00
Nassau University Medical Center	NY	Cash pay	N/A	inpatient	cash	$488.93
Nassau University Medical Center	NY	Cash pay	N/A	outpatient	cash	$488.93
Nassau University Medical Center	NY	Cash pay	N/A	both	cash	$439.60
Nassau University Medical Center	NY	Cash pay	N/A	inpatient	cash	$400.40
Nassau University Medical Center	NY	Cash pay	N/A	outpatient	cash	$400.40
St. Josephs Medical Center	NY	Cash pay	N/A	outpatient	cash	$175.00
Nassau University Medical Center	NY	[De-identified Min]	—	outpatient	min	$190.13
Fredrick Ferris Thompson Hospital	NY	[De-identified Min]	—	outpatient	min	$176.00
St. Josephs Medical Center	NY	[De-identified Min]	—	outpatient	min	$172.00
Nassau University Medical Center	NY	[De-identified Min]	—	outpatient	min	$61.00
Nassau University Medical Center	NY	[De-identified Min]	—	both	min	$60.38
Fredrick Ferris Thompson Hospital	NY	[De-identified Min]	—	outpatient	min	$43.62
Nassau University Medical Center	NY	Blue Cross Blue Shield	Blue Access	outpatient	negotiated	$698.47
Nassau University Medical Center	NY	Blue Cross Blue Shield	Commercial/EPO/HMO/POS/PPO/Indemnity	outpatient	negotiated	$698.47
Fredrick Ferris Thompson Hospital	NY	Blue Cross Blue Shield	EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE CHOICE 220107	outpatient	negotiated	$613.98
Nassau University Medical Center	NY	Blue Cross Blue Shield	Blue Access	outpatient	negotiated	$572.00
Nassau University Medical Center	NY	Blue Cross Blue Shield	Commercial/EPO/HMO/POS/PPO/Indemnity	outpatient	negotiated	$572.00
St. Josephs Medical Center	NY	magnacare	Commercial	outpatient	negotiated	$564.20
Nassau University Medical Center	NY	magnacare	Commercial	outpatient	negotiated	$523.85
Fredrick Ferris Thompson Hospital	NY	Cigna	MVP COMMERCIAL PPO FULLY INSURED 290006, CIGNA HEALTHCARE (POB 182223) 514405	outpatient	negotiated	$518.02
Fredrick Ferris Thompson Hospital	NY	mvp 2900	MVP HEALTH CARE 290001, MVP PREMIER GROUP 290003	outpatient	negotiated	$485.67
St. Josephs Medical Center	NY	fidelis	ESSENTIAL PLAN 1\|ESSENTIAL PLAN 2\|ESSENTIAL PLAN 3\|ESSENTIAL PLAN 4\|ESSENTIAL PLAN 5\|ESSENTIAL PLAN 6	outpatient	negotiated	$479.48
St. Josephs Medical Center	NY	mvp	ESSENTIAL PLAN 1\|ESSENTIAL PLAN 2\|ESSENTIAL PLAN 3\|ESSENTIAL PLAN 4	outpatient	negotiated	$479.48
St. Josephs Medical Center	NY	UnitedHealthcare	ESSENTIAL PLAN 1\|ESSENTIAL PLAN 2\|ESSENTIAL PLAN 3\|ESSENTIAL PLAN 4	outpatient	negotiated	$479.48
St. Josephs Medical Center	NY	Molina	ESSENTIAL PLAN 1\|ESSENTIAL PLAN 2\|ESSENTIAL PLAN 3\|ESSENTIAL PLAN 4	outpatient	negotiated	$479.48
St. Josephs Medical Center	NY	Emblem Health	ESSENTIAL PLAN 1\|ESSENTIAL PLAN 2\|ESSENTIAL PLAN 3\|ESSENTIAL PLAN 4	outpatient	negotiated	$479.48
St. Josephs Medical Center	NY	Healthfirst	ESSENTIAL PLAN 1\|ESSENTIAL PLAN 2\|ESSENTIAL PLAN 3\|ESSENTIAL PLAN 4	outpatient	negotiated	$479.48
St. Josephs Medical Center	NY	Empire BCBS	ESSENTIAL PLAN 1\|ESSENTIAL PLAN 2\|ESSENTIAL PLAN 3\|ESSENTIAL PLAN 4	outpatient	negotiated	$479.48
Fredrick Ferris Thompson Hospital	NY	capital district physicians health plan (cdphp) 5149	CAPITAL DISTRICT PHYSICIANS (CDPHP) 514901	outpatient	negotiated	$433.44
Nassau University Medical Center	NY	magnacare	Commercial	outpatient	negotiated	$429.00
Nassau University Medical Center	NY	1199seiu national benefit funds	Commercial	outpatient	negotiated	$419.08
Nassau University Medical Center	NY	Aetna	Commercial	outpatient	negotiated	$417.89
Fredrick Ferris Thompson Hospital	NY	mvp 2900	MVP PREMIER INDIVIDUAL 290002	outpatient	negotiated	$399.26
Fredrick Ferris Thompson Hospital	NY	Blue Cross Blue Shield	EXCELLUS METAL TIERS 220102	outpatient	negotiated	$395.80
Fredrick Ferris Thompson Hospital	NY	capital district physicians health plan (cdphp) 5149	CAPITAL DISTRICT PHYSICIANS (CDPHP) 514901	outpatient	negotiated	$375.71
Nassau University Medical Center	NY	1199seiu national benefit funds	Commercial	outpatient	negotiated	$343.20
Nassau University Medical Center	NY	emblemhealth	Commercial	outpatient	negotiated	$274.93
St. Josephs Medical Center	NY	UnitedHealthcare	COMMERCIAL\|NYS Employees\|POMCO	outpatient	negotiated	$258.00
Fredrick Ferris Thompson Hospital	NY	independent health 5156	INDEPENDENT HEALTH (BUFFALO NY) 515601,NOVA HEALTHCARE ADMIN 515602	outpatient	negotiated	$251.82
Fredrick Ferris Thompson Hospital	NY	Medicare	MVP MEDICARE 130701	outpatient	negotiated	$243.72
Fredrick Ferris Thompson Hospital	NY	Medicare	CDPHP MEDICARE 132001	outpatient	negotiated	$239.29
Fredrick Ferris Thompson Hospital	NY	Aetna	AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA MEDICAL MUTUAL PPO 270004,AETNA TRAVEL 270005	outpatient	negotiated	$235.64
Fredrick Ferris Thompson Hospital	NY	fidelis 5155	FIDELIS METAL TIERS 515501	outpatient	negotiated	$228.31
St. Josephs Medical Center	NY	Emblem Health	HMO\|PPO\|EPO\|POS\|SELF-ADMINISTERED\|NETWORK ACCESS	outpatient	negotiated	$227.24
St. Josephs Medical Center	NY	Emblem Health	SELECT	outpatient	negotiated	$227.24
St. Josephs Medical Center	NY	oxford	LIBERTY\|FREEDOM	outpatient	negotiated	$226.00
Fredrick Ferris Thompson Hospital	NY	Humana	HUMANA MEDICARE 131201	outpatient	negotiated	$221.56
Fredrick Ferris Thompson Hospital	NY	Medicare	FIDELIS MEDICARE 131101	outpatient	negotiated	$221.56
Fredrick Ferris Thompson Hospital	NY	UnitedHealthcare	UNITED HEALTHCARE MEDICARE 130901	outpatient	negotiated	$221.56
Fredrick Ferris Thompson Hospital	NY	Aetna	AETNA MEDICARE 130001	outpatient	negotiated	$221.56
Fredrick Ferris Thompson Hospital	NY	Blue Cross Blue Shield	HIGHMARK BCBS MEDICARE 130101	outpatient	negotiated	$221.56
Fredrick Ferris Thompson Hospital	NY	elderplan 1316	ELDERPLAN 131601	outpatient	negotiated	$221.56
Fredrick Ferris Thompson Hospital	NY	Medicare	WELLCARE MEDICARE 131001	outpatient	negotiated	$221.56
Fredrick Ferris Thompson Hospital	NY	independent health 5156	INDEPENDENT HEALTH (BUFFALO NY) 515601,NOVA HEALTHCARE ADMIN 515602	outpatient	negotiated	$216.71
Fredrick Ferris Thompson Hospital	NY	independent health 5156	INDEPENDENT HEALTH (BUFFALO NY) 515601,NOVA HEALTHCARE ADMIN 515602	outpatient	negotiated	$214.05
St. Josephs Medical Center	NY	fidelis	MEDICAID\|CHP\|HARP\|QHP	outpatient	negotiated	$213.10
St. Josephs Medical Center	NY	mvp	MEDICAID\|CHP\|HARP	outpatient	negotiated	$213.10
St. Josephs Medical Center	NY	UnitedHealthcare	MEDICAID\|CHP\|HARP	outpatient	negotiated	$213.10
St. Josephs Medical Center	NY	Molina	MEDICAID\|CHP\|HARP	outpatient	negotiated	$213.10
St. Josephs Medical Center	NY	Emblem Health	MEDICAID\|CHP\|HARP	outpatient	negotiated	$213.10
St. Josephs Medical Center	NY	Healthfirst	MEDICAID\|CHP\|HARP	outpatient	negotiated	$213.10
St. Josephs Medical Center	NY	Empire BCBS	MEDICAID\|HARP\|CHP\|INDIVIDUAL NETWORK	outpatient	negotiated	$213.10
St. Josephs Medical Center	NY	vns	MEDICAID	outpatient	negotiated	$213.10
St. Josephs Medical Center	NY	Aetna	HMO\|PPO	outpatient	negotiated	$205.99
Fredrick Ferris Thompson Hospital	NY	Aetna	AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA MEDICAL MUTUAL PPO 270004,AETNA TRAVEL 270005	outpatient	negotiated	$204.26
Fredrick Ferris Thompson Hospital	NY	Aetna	AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA MEDICAL MUTUAL PPO 270004,AETNA TRAVEL 270005	outpatient	negotiated	$201.96
Fredrick Ferris Thompson Hospital	NY	Cigna	MVP COMMERCIAL NON PPO FULLY INSURED 290001, MVP COMMERCIAL PPO FULLY INSURED 290006, CIGNA (DESMOINES IA) 514401, CIGNA HEALTHCARE (POB 182223) 514405, CIGNA INTERNATIONAL 514410, CIGNA HEALTHCARE (P	outpatient	negotiated	$201.44
Nassau University Medical Center	NY	fidelis care	Health Benefit Exchange	outpatient	negotiated	$199.64
Fredrick Ferris Thompson Hospital	NY	fidelis 5155	FIDELIS METAL TIERS 515501	outpatient	negotiated	$196.75
Fredrick Ferris Thompson Hospital	NY	fidelis 5155	FIDELIS METAL TIERS 515501	outpatient	negotiated	$194.49
Nassau University Medical Center	NY	Aetna	Medicare Advantage	outpatient	negotiated	$190.13
Nassau University Medical Center	NY	Blue Cross Blue Shield	Medicare Advantage	outpatient	negotiated	$190.13
Nassau University Medical Center	NY	centers plan for healthy living	Medicare Advantage	outpatient	negotiated	$190.13
Nassau University Medical Center	NY	fidelis care	Medicare Advantage	outpatient	negotiated	$190.13
Nassau University Medical Center	NY	Humana	Medicare Advantage	outpatient	negotiated	$190.13
Nassau University Medical Center	NY	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$190.13
Nassau University Medical Center	NY	UnitedHealthcare	VACCN	outpatient	negotiated	$190.13
St. Josephs Medical Center	NY	mvp	EPO\|PPO\|ASO\|STUDENT\|INDIVIDUAL\|SELF FUNDED	outpatient	negotiated	$189.00
Fredrick Ferris Thompson Hospital	NY	Medicare	UNIVERA SENIOR CHOICE MEDICARE 130603	outpatient	negotiated	$184.38
Fredrick Ferris Thompson Hospital	NY	independent health 5156	INDEPENDENT HEALTH (BUFFALO NY) 515601,NOVA HEALTHCARE ADMIN 515602	outpatient	negotiated	$184.20
Fredrick Ferris Thompson Hospital	NY	Medicaid	BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, UNIVERA ESSENTIAL (W/ MEDICAID) 170605, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLU	outpatient	negotiated	$182.48
Nassau University Medical Center	NY	Aetna	Commercial	both	negotiated	$182.34
St. Josephs Medical Center	NY	Empire BCBS	HMO\|EPO\|BLUE ACCESS SMALL & LARGE GRPS\|32BJ	outpatient	negotiated	$182.31
St. Josephs Medical Center	NY	Empire BCBS	INDEMNITY\|PPO	outpatient	negotiated	$182.31
Fredrick Ferris Thompson Hospital	NY	Blue Cross Blue Shield	HIGHMARK BC/BS MEDICARE 130101	outpatient	negotiated	$181.58
Nassau University Medical Center	NY	emblemhealth	Medicare Advantage	outpatient	negotiated	$180.62
Fredrick Ferris Thompson Hospital	NY	Medicare	MEDICARE BLUE CHOICE 130601	outpatient	negotiated	$179.47
Fredrick Ferris Thompson Hospital	NY	Cigna	MVP COMMERCIAL NON PPO FULLY INSURED 290001, MVP COMMERCIAL PPO FULLY INSURED 290006, CIGNA (DESMOINES IA) 514401, CIGNA HEALTHCARE (POB 182223) 514405, CIGNA INTERNATIONAL 514410, CIGNA HEALTHCARE (P	outpatient	negotiated	$177.65
Fredrick Ferris Thompson Hospital	NY	Medicaid	FIDELIS ESSENTIAL (NO MEDICAID) 515503, FIDELIS ESSENTIAL (W/ MEDICAID) 170804	outpatient	negotiated	$177.58
Fredrick Ferris Thompson Hospital	NY	Blue Cross Blue Shield	HIGHMARK BCBS 514301	outpatient	negotiated	$176.00
Fredrick Ferris Thompson Hospital	NY	Blue Cross Blue Shield	ENGINEERS JOINT WELFARE FUND (SYRACUSE) 220001,LIFETIME BENEFIT SOLUTIONS 220002,EXCELLUS 220101,EXCELLUS HIGH PERFORMANCE 220103,UNIVERA 220104,EXCELLUS UR 220105,EXCELLUS SIMPLY BLUE 220106,EXCELLUS	outpatient	negotiated	$175.03
St. Josephs Medical Center	NY	fidelis	MEDICARE ADVANTAGE\|ADVANTAGE PLUS\|DUALS	outpatient	negotiated	$175.00
St. Josephs Medical Center	NY	mvp	ADVANTAGE\|ADVANTAGE PLUS	outpatient	negotiated	$175.00
St. Josephs Medical Center	NY	UnitedHealthcare	ADVANTAGE	outpatient	negotiated	$175.00
St. Josephs Medical Center	NY	Emblem Health	MEDICARE ADVANTAGE	outpatient	negotiated	$175.00
St. Josephs Medical Center	NY	Healthfirst	MEDICARE ADVANTAGE\|MAP	outpatient	negotiated	$175.00
St. Josephs Medical Center	NY	WellCare	MEDICARE ADVANTAGE	outpatient	negotiated	$175.00
St. Josephs Medical Center	NY	partners health plan	MEDICARE\|FIDA DUAL ADVANTAGE	outpatient	negotiated	$175.00
St. Josephs Medical Center	NY	partners health plan	MEDICAID	outpatient	negotiated	$175.00
St. Josephs Medical Center	NY	centers plan for healthy living	MEDICARE ADVANTAGE\|DUAL SPECIAL NEED\|INSTITUTIONAL SPECIAL NEEDS\|MEDICAID ADVANTAGE PLUS\|MANAGED LONG TERM CARE	outpatient	negotiated	$175.00
St. Josephs Medical Center	NY	Empire BCBS	MEDICARE	outpatient	negotiated	$175.00
St. Josephs Medical Center	NY	Aetna	MEDICARE	outpatient	negotiated	$175.00
St. Josephs Medical Center	NY	oxford	MEDICARE	outpatient	negotiated	$175.00
St. Josephs Medical Center	NY	vns	MEDICARE\|DUAL\|FIDA	outpatient	negotiated	$175.00
Fredrick Ferris Thompson Hospital	NY	Aetna	AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA MEDICAL MUTUAL PPO 270004,AETNA TRAVEL 270005	outpatient	negotiated	$174.66
Nassau University Medical Center	NY	Cigna	Commercial	outpatient	negotiated	$174.62
Fredrick Ferris Thompson Hospital	NY	Blue Cross Blue Shield	BC/BS OF WESTERN NY 514301, COMMUNITY BLUE (BUFFALO NY) 514302, BC/BS OF WESTERN NY HEALTHY NY 514305, COMMUNITY BLUE CHILD HEALTH PLUS 514306, HIGHMARK BC/BS OF NORTHEASTERN NY 514308, HIGHMARK BC/BS	outpatient	negotiated	$174.26
Nassau University Medical Center	NY	fidelis care	Health Benefit Exchange	both	negotiated	$172.81
St. Josephs Medical Center	NY	1199 seiu	Commercial	outpatient	negotiated	$172.00
Fredrick Ferris Thompson Hospital	NY	Cigna	MVP COMMERCIAL NON PPO FULLY INSURED 290001, MVP COMMERCIAL PPO FULLY INSURED 290006, CIGNA (DESMOINES IA) 514401, CIGNA HEALTHCARE (POB 182223) 514405, CIGNA INTERNATIONAL 514410, CIGNA HEALTHCARE (P	outpatient	negotiated	$171.22
Fredrick Ferris Thompson Hospital	NY	Medicaid	FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502	outpatient	negotiated	$169.12
Fredrick Ferris Thompson Hospital	NY	Blue Cross Blue Shield	ENGINEERS JOINT WELFARE FUND (SYRACUSE) 220001,LIFETIME BENEFIT SOLUTIONS 220002,EXCELLUS 220101,EXCELLUS HIGH PERFORMANCE 220103,UNIVERA 220104,EXCELLUS UR 220105,EXCELLUS SIMPLY BLUE 220106,EXCELLUS	outpatient	negotiated	$169.12
Fredrick Ferris Thompson Hospital	NY	fidelis 5155	FIDELIS METAL TIERS 515501	outpatient	negotiated	$167.60
Fredrick Ferris Thompson Hospital	NY	Medicare	CDPHP MEDICARE 132001	outpatient	negotiated	$167.31
Nassau University Medical Center	NY	fidelis care	Essential Plan	both	negotiated	$164.96
Fredrick Ferris Thompson Hospital	NY	Aetna	AETNA MEDICARE 130001, AETNA SENIOR SUPPLEMENTAL 270006	outpatient	negotiated	$164.03
Fredrick Ferris Thompson Hospital	NY	excellus 2201	EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL 220113, UNIVERA METAL TIERS SMALL GROUP 220114	outpatient	negotiated	$164.03
Fredrick Ferris Thompson Hospital	NY	Medicare	MEDICARE BLUE CHOICE 130601, BLUE MEDICARE 130602, MEDICARE BLUE IB DUAL 130604	outpatient	negotiated	$164.03
Fredrick Ferris Thompson Hospital	NY	Medicaid	MOLINA MEDICAID 172301, MOLINA ESSENTIAL (W/MEDICAID) 172302, MOLINA CHILD HEALTH PLUS 518901, MOLINA ESSENTIAL (NO MEDICAID) 518902	outpatient	negotiated	$163.40
Fredrick Ferris Thompson Hospital	NY	Blue Cross Blue Shield	HIGHMARK BC/BS MEDICARE 130101	outpatient	negotiated	$161.53
Fredrick Ferris Thompson Hospital	NY	Medicare	UNIVERA SENIOR CHOICE MEDICARE 130603	outpatient	negotiated	$159.83
Nassau University Medical Center	NY	centers plan for healthy living	Medicare Advantage	both	negotiated	$157.10
Nassau University Medical Center	NY	fidelis care	Medicare Advantage	both	negotiated	$157.10
Fredrick Ferris Thompson Hospital	NY	Medicare	UNIVERA SENIOR CHOICE MEDICARE 130603	outpatient	negotiated	$156.72
Fredrick Ferris Thompson Hospital	NY	Medicaid	BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, UNIVERA ESSENTIAL (W/ MEDICAID) 170605, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLU	outpatient	negotiated	$155.10
Fredrick Ferris Thompson Hospital	NY	Blue Cross Blue Shield	HIGHMARK BC/BS MEDICARE 130101	outpatient	negotiated	$154.34
Fredrick Ferris Thompson Hospital	NY	Medicaid	FIDELIS ESSENTIAL (NO MEDICAID) 515503, FIDELIS ESSENTIAL (W/ MEDICAID) 170804	outpatient	negotiated	$153.03
Fredrick Ferris Thompson Hospital	NY	UnitedHealthcare	EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001	outpatient	negotiated	$151.93
Fredrick Ferris Thompson Hospital	NY	Medicaid	BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, UNIVERA ESSENTIAL (W/ MEDICAID) 170605, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLU	outpatient	negotiated	$151.66
Fredrick Ferris Thompson Hospital	NY	Cigna	MVP COMMERCIAL NON PPO FULLY INSURED 290001, MVP COMMERCIAL PPO FULLY INSURED 290006, CIGNA (DESMOINES IA) 514401, CIGNA HEALTHCARE (POB 182223) 514405, CIGNA INTERNATIONAL 514410, CIGNA HEALTHCARE (P	outpatient	negotiated	$151.00
Fredrick Ferris Thompson Hospital	NY	Blue Cross Blue Shield	ENGINEERS JOINT WELFARE FUND (SYRACUSE) 220001,LIFETIME BENEFIT SOLUTIONS 220002,EXCELLUS 220101,EXCELLUS HIGH PERFORMANCE 220103,UNIVERA 220104,EXCELLUS UR 220105,EXCELLUS SIMPLY BLUE 220106,EXCELLUS	outpatient	negotiated	$150.84
Fredrick Ferris Thompson Hospital	NY	Medicaid	FIDELIS ESSENTIAL (NO MEDICAID) 515503, FIDELIS ESSENTIAL (W/ MEDICAID) 170804	outpatient	negotiated	$150.52
Fredrick Ferris Thompson Hospital	NY	Blue Cross Blue Shield	ENGINEERS JOINT WELFARE FUND (SYRACUSE) 220001,LIFETIME BENEFIT SOLUTIONS 220002,EXCELLUS 220101,EXCELLUS HIGH PERFORMANCE 220103,UNIVERA 220104,EXCELLUS UR 220105,EXCELLUS SIMPLY BLUE 220106,EXCELLUS	outpatient	negotiated	$148.78
Fredrick Ferris Thompson Hospital	NY	Blue Cross Blue Shield	BC/BS OF WESTERN NY 514301, COMMUNITY BLUE (BUFFALO NY) 514302, BC/BS OF WESTERN NY HEALTHY NY 514305, COMMUNITY BLUE CHILD HEALTH PLUS 514306, HIGHMARK BC/BS OF NORTHEASTERN NY 514308, HIGHMARK BC/BS	outpatient	negotiated	$148.12
Fredrick Ferris Thompson Hospital	NY	Medicaid	CAPITAL DISTRICT PHYSICIANS MEDICAID 170401	outpatient	negotiated	$147.63
Nassau University Medical Center	NY	Humana	Medicare Advantage	both	negotiated	$147.16
Fredrick Ferris Thompson Hospital	NY	Medicaid	BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, UNIVERA ESSENTIAL (W/ MEDICAID) 170605, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLU	outpatient	negotiated	$146.58
Fredrick Ferris Thompson Hospital	NY	mvp 2900	MVP PREMIER INDIVIDUAL 290002, MVP PREMIER GROUP 290003	outpatient	negotiated	$145.95
Fredrick Ferris Thompson Hospital	NY	Medicaid	FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502	outpatient	negotiated	$145.74
Fredrick Ferris Thompson Hospital	NY	Blue Cross Blue Shield	ENGINEERS JOINT WELFARE FUND (SYRACUSE) 220001,LIFETIME BENEFIT SOLUTIONS 220002,EXCELLUS 220101,EXCELLUS HIGH PERFORMANCE 220103,UNIVERA 220104,EXCELLUS UR 220105,EXCELLUS SIMPLY BLUE 220106,EXCELLUS	outpatient	negotiated	$145.74
Fredrick Ferris Thompson Hospital	NY	Medicaid	BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, UNIVERA ESSENTIAL (W/ MEDICAID) 170605, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLU	outpatient	negotiated	$145.67
Fredrick Ferris Thompson Hospital	NY	Medicare	CDPHP MEDICARE 132001	outpatient	negotiated	$144.14
Nassau University Medical Center	NY	valueoptions	Commercial	both	negotiated	$144.00
Nassau University Medical Center	NY	valueoptions	Medicare Advantage	both	negotiated	$144.00
Fredrick Ferris Thompson Hospital	NY	Medicaid	FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502	outpatient	negotiated	$143.75
Nassau University Medical Center	NY	Cigna	Commercial	outpatient	negotiated	$143.00
Fredrick Ferris Thompson Hospital	NY	Medicaid	MOLINA MEDICAID 172301, MOLINA ESSENTIAL (W/MEDICAID) 172302, MOLINA CHILD HEALTH PLUS 518901, MOLINA ESSENTIAL (NO MEDICAID) 518902	outpatient	negotiated	$141.64
Fredrick Ferris Thompson Hospital	NY	Aetna	AETNA MEDICARE 130001, AETNA SENIOR SUPPLEMENTAL 270006	outpatient	negotiated	$141.31
Fredrick Ferris Thompson Hospital	NY	excellus 2201	EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL 220113, UNIVERA METAL TIERS SMALL GROUP 220114	outpatient	negotiated	$141.31
Fredrick Ferris Thompson Hospital	NY	Medicare	MEDICARE BLUE CHOICE 130601, BLUE MEDICARE 130602, MEDICARE BLUE IB DUAL 130604	outpatient	negotiated	$141.31
Fredrick Ferris Thompson Hospital	NY	Aetna	AETNA MEDICARE 130001, AETNA SENIOR SUPPLEMENTAL 270006	outpatient	negotiated	$139.43
Fredrick Ferris Thompson Hospital	NY	excellus 2201	EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL 220113, UNIVERA METAL TIERS SMALL GROUP 220114	outpatient	negotiated	$139.43
Fredrick Ferris Thompson Hospital	NY	Medicare	MEDICARE BLUE CHOICE 130601, BLUE MEDICARE 130602, MEDICARE BLUE IB DUAL 130604	outpatient	negotiated	$139.43
Fredrick Ferris Thompson Hospital	NY	Blue Cross Blue Shield	HIGHMARK BC/BS MEDICARE 130101	outpatient	negotiated	$137.30
Fredrick Ferris Thompson Hospital	NY	Medicare	UNIVERA SENIOR CHOICE MEDICARE 130603	outpatient	negotiated	$135.86
Fredrick Ferris Thompson Hospital	NY	UnitedHealthcare	EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001	outpatient	negotiated	$133.98
Nassau University Medical Center	NY	Anthem BCBS	Essential	both	negotiated	$133.54
Nassau University Medical Center	NY	Anthem BCBS	Managed Medicaid	both	negotiated	$133.54
Nassau University Medical Center	NY	Molina	Managed Medicaid	both	negotiated	$133.54
Fredrick Ferris Thompson Hospital	NY	Medicaid	FIDELIS ESSENTIAL (NO MEDICAID) 515503, FIDELIS ESSENTIAL (W/ MEDICAID) 170804	outpatient	negotiated	$129.71
Fredrick Ferris Thompson Hospital	NY	UnitedHealthcare	EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001	outpatient	negotiated	$129.14
Fredrick Ferris Thompson Hospital	NY	mvp 2900	MVP PREMIER INDIVIDUAL 290002, MVP PREMIER GROUP 290003	outpatient	negotiated	$128.71
Fredrick Ferris Thompson Hospital	NY	Blue Cross Blue Shield	ENGINEERS JOINT WELFARE FUND (SYRACUSE) 220001,LIFETIME BENEFIT SOLUTIONS 220002,EXCELLUS 220101,EXCELLUS HIGH PERFORMANCE 220103,UNIVERA 220104,EXCELLUS UR 220105,EXCELLUS SIMPLY BLUE 220106,EXCELLUS	outpatient	negotiated	$128.21
Fredrick Ferris Thompson Hospital	NY	Medicaid	CAPITAL DISTRICT PHYSICIANS MEDICAID 170401	outpatient	negotiated	$127.18
Fredrick Ferris Thompson Hospital	NY	Medicaid	BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, UNIVERA ESSENTIAL (W/ MEDICAID) 170605, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLU	outpatient	negotiated	$126.54
Fredrick Ferris Thompson Hospital	NY	mvp 2900	MVP PREMIER INDIVIDUAL 290002, MVP PREMIER GROUP 290003	outpatient	negotiated	$124.06
Fredrick Ferris Thompson Hospital	NY	Medicaid	FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502	outpatient	negotiated	$123.88
Fredrick Ferris Thompson Hospital	NY	Medicaid	BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, UNIVERA ESSENTIAL (W/ MEDICAID) 170605, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLU	outpatient	negotiated	$122.47
Fredrick Ferris Thompson Hospital	NY	Aetna	AETNA MEDICARE 130001, AETNA SENIOR SUPPLEMENTAL 270006	outpatient	negotiated	$120.11
Fredrick Ferris Thompson Hospital	NY	excellus 2201	EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL 220113, UNIVERA METAL TIERS SMALL GROUP 220114	outpatient	negotiated	$120.11
Fredrick Ferris Thompson Hospital	NY	Medicare	MEDICARE BLUE CHOICE 130601, BLUE MEDICARE 130602, MEDICARE BLUE IB DUAL 130604	outpatient	negotiated	$120.11
Fredrick Ferris Thompson Hospital	NY	Medicaid	MVP OPTION MEDICAID 171201, MVP ESSENTIAL (W/ MEDICAID) 171204, MVP CHILD HEALTH PLUS 290004, MVP ESSENTIAL (NO MEDICAID) 290005	outpatient	negotiated	$119.29
Fredrick Ferris Thompson Hospital	NY	UnitedHealthcare	EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001	outpatient	negotiated	$113.88
Fredrick Ferris Thompson Hospital	NY	mvp 2900	MVP PREMIER INDIVIDUAL 290002, MVP PREMIER GROUP 290003	outpatient	negotiated	$109.40
Fredrick Ferris Thompson Hospital	NY	Medicaid	BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, UNIVERA ESSENTIAL (W/ MEDICAID) 170605, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLU	outpatient	negotiated	$107.67
Fredrick Ferris Thompson Hospital	NY	Medicaid	MVP OPTION MEDICAID 171201, MVP ESSENTIAL (W/ MEDICAID) 171204, MVP CHILD HEALTH PLUS 290004, MVP ESSENTIAL (NO MEDICAID) 290005	outpatient	negotiated	$105.20
Fredrick Ferris Thompson Hospital	NY	Medicaid	BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, UNIVERA ESSENTIAL (W/ MEDICAID) 170605, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLU	outpatient	negotiated	$69.86
Fredrick Ferris Thompson Hospital	NY	Blue Cross Blue Shield	HIGHMARK BC/BS OF WESTERN NY MEDICAID 170201, COMMUNITY CARE MEDICAID 170202, AMERIGROUP (BSWNY ALTERNATE) 172001, COMMUNITY BLUE CHILD HEALTH PLUS 514306, BCBSWNY-COMMUNITYBLUEESSENTIALPLAN1 514307	outpatient	negotiated	$68.53
Nassau University Medical Center	NY	UnitedHealthcare	Commercial	outpatient	negotiated	$67.00
Nassau University Medical Center	NY	UnitedHealthcare	Charter/Charter Balanced/Charter Plus	outpatient	negotiated	$61.00
Nassau University Medical Center	NY	UnitedHealthcare	Compass	outpatient	negotiated	$61.00
Nassau University Medical Center	NY	UnitedHealthcare	Core	outpatient	negotiated	$61.00
Nassau University Medical Center	NY	Molina	Essential Plan 1 & 2	both	negotiated	$60.38
Nassau University Medical Center	NY	Molina	Essential Plan 3 & 4	both	negotiated	$60.38
Fredrick Ferris Thompson Hospital	NY	Blue Cross Blue Shield	HIGHMARK BC/BS OF WESTERN NY MEDICAID 170201, COMMUNITY CARE MEDICAID 170202, COMMUNITY BLUE CHILD HEALTH PLUS 514306, BCBSWNY-COMMUNITYBLUEESSENTIALPLAN1 514307	outpatient	negotiated	$58.25
Fredrick Ferris Thompson Hospital	NY	Blue Cross Blue Shield	AMERIGROUP (BSWNY ALTERNATE) 172001	outpatient	negotiated	$54.82
Fredrick Ferris Thompson Hospital	NY	Medicaid	BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, UNIVERA ESSENTIAL (W/ MEDICAID) 170605, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLU	outpatient	negotiated	$43.62
Nassau University Medical Center	NY	[De-identified Max]	—	outpatient	max	$698.47
Fredrick Ferris Thompson Hospital	NY	[De-identified Max]	—	outpatient	max	$613.98
Nassau University Medical Center	NY	[De-identified Max]	—	outpatient	max	$572.00
St. Josephs Medical Center	NY	[De-identified Max]	—	outpatient	max	$564.20
Fredrick Ferris Thompson Hospital	NY	[De-identified Max]	—	outpatient	max	$433.44
Nassau University Medical Center	NY	[De-identified Max]	—	outpatient	max	$199.64
Nassau University Medical Center	NY	[De-identified Max]	—	both	max	$182.34

Rates are point-in-time snapshots from each hospital's machine-readable file. Payers can negotiate different rates for different plans within the same network — this view shows the latest snapshot per (hospital, payer, plan, rate type).